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Antiphospholipid Syndrome Treatment

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Encyclopedia of Medical Immunology

Synonyms

Hughes Syndrome

Definition

Antiphospholipid syndrome (APS) is an autoimmune disease characterized by recurrent thrombotic events and pregnancy morbidity, in the presence of distinct autoantibodies. The treatment of APS should be directed to subgroups based on clinical manifestations, immunological findings, and whether accompanied by other autoimmune disease. The treatment includes anticoagulants and/or aspirin.

Treatment for Thrombosis

Recently updated criteria for APS in 2006 define the syndrome as the combination of a clinical event (including at least one thromboembolic event, pregnancy morbidity, or both) and an abnormal test result (including the presence of antibodies to cardiolipin (aCL) or beta-2-glycoprotein I (anti-b2GPI) or the presence of the lupus anticoagulant (LAC) detectable at least twice over an interval of 12 weeks or more) (Miyakis et al. 2006). Thromboses are usually recurrent and frequently involve the same territory in subsequent thrombotic events...

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References

  • Bramham K, Hunt BJ, Germain S, et al. Pregnancy outcome in different clinical phenotypes of antiphospholipid syndrome. Lupus. 2010;19:58–64.

    PubMed  CAS  Google Scholar 

  • Branch W on behalf of the Obstetric Task Force. Report of the obstetric APS task force: 13th international congress on antiphospholipid antibodies, 13th April 2010. Lupus 2011;20:158–64.

    Google Scholar 

  • Cervera R, Font J, Khamashta M, et al. Antiphospholipid syndrome: clinical and immunological manifestations and patterns of disease expression in a cohort of 1000 patients. Arthritis Rheum. 2002;46:1019–27.

    PubMed  Google Scholar 

  • Cohen D, Berger SP, Steup-Beekman GM, Bloemenkamp KWM, Bajema IM. Diagnosis and management of the antiphospholipid syndrome. BMJ. 2010;340:1125–32.

    Google Scholar 

  • Cosmi B, Legnani C, Tosetto A, PROLONG Investigators, et al. Usefulness of repeated D-dimer testing after stopping anticoagulation for a first episode of unprovoked avenous thromboembolism: the PROLONG II prospective study. Blood. 2010;115:481–8.

    PubMed  CAS  Google Scholar 

  • Danza A, Ruiz-Irastorza G, Khamashta M. Antiphospholipid syndrome in obstetrics. Best Pract Res Clin Obstetrics Gynecol. 2012;26:65–76.

    Google Scholar 

  • Erkan D, Pierangeli SS. Antiphospholipid syndrome: Insights and Highlights from the 13th International Congress on Antiphospholipid Antibodies. Chapter 11: Ruiz-Irastorza G, Pengo V, Tektonidou MG, Ruiz-Arruza I, Cuadrado MJ, Khamashta MA. Task force report on the management of thrombosis in antiphospholipid syndrome. 3rd ed. New York: Springer; 2012. pp 167–179.

    Google Scholar 

  • Galli M, Luciani D, Bertolini G, Barbui T. Lupus anticoagulant s are stronger risk factors for thrombosis than anticardiolipin antibodies in the antiphospholipid syndrome: a systematic review of the literature. Blood. 2003;101:1827–32.

    PubMed  CAS  Google Scholar 

  • Heilman L, Schorsch M, Hahn T, Fareed J. Anti-phospholipid syndrome and preeclampsia. Semin Thromb Hemost. 2011;37:141–5.

    Google Scholar 

  • Miyakis S, Lockshin MD, Atsumi T, et al. International consensus statement on an update of the classification criteria for definite antiphospholipid syndrome (APS). J Thromb Haemost. 2006;4:295–306.

    PubMed  CAS  Google Scholar 

  • Prandoni P, Prins MH, Lensing AW, AESOPUS Investigators, et al. Residual thrombosis on ultrasonography to guide the duration of anticoagulation in patients with deep vein thrombosis: a randomized trial. Ann Intern Med. 2009;50:577–85.

    Google Scholar 

  • Ramires de Jesus GR, dos Santos FC, Oliveira CS, Mendes-Silva W, Ramires de Jesus N, Levy RA. Management of obstetric antiphospholipid syndrome. Curr Rheumatol Rep. 2012;14:79–86.

    Google Scholar 

  • Ruiz-Irastorza G, Crowther M, Branch W, Khamashta MA. Antiphospholipid syndrome. Lancet. 2010;376:1498–509.

    PubMed  CAS  Google Scholar 

  • Ruiz-Irastorza G, Cuadrado MJ, Ruiz-Arruza I, Brey R, Crowther M, Derksen R, Erkan D, et al. Evidence-based recommendations for the prevention and long-term management of thrombosis in antiphospholipid antibody positive patients: Report of a task force at the 13th international congress on antiphospholipid antibodies. Lupus 2011;20:206–18.

    Google Scholar 

  • Scoble T, Wijetilleka S, Khamashta M. Management of refractory anti-phospholipid syndrome. Autoimmun Rev. 2011;10:669–73.

    PubMed  Google Scholar 

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Correspondence to Gisele Zandman-Goddard .

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Zandman-Goddard, G., Shoenfeld, Y. (2014). Antiphospholipid Syndrome Treatment. In: Mackay, I.R., Rose, N.R., Diamond, B., Davidson, A. (eds) Encyclopedia of Medical Immunology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-84828-0_421

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  • DOI: https://doi.org/10.1007/978-0-387-84828-0_421

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